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Individual

MRS. SUSAN A DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
2121 MEADOWLARK RD, MANHATTAN, KS 66502-4556
(785) 537-4610
(785) 537-3022
Mailing address
2121 MEADOWLARK RD, MANHATTAN, KS 66502-4556
(785) 537-4610
(785) 537-3022

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW 2065
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
069578
PROVIDER NUMBER
KS
Enumeration date
09/20/2006
Last updated
07/09/2007
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